Individual provider Active NPI

Bradley Goldman

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1447419494
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10059 Issued in FL
Practice address
10282 Islander Dr
Boca Raton, FL 33498-6306
Phone
(561) 702-3838
Fax
(561) 477-8974
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10059 FL Primary

Addresses

Primary practice location

10282 Islander Dr
Boca Raton, FL 33498-6306

Mailing address

10282 Islander Dr
Boca Raton, FL 33498-6306
Phone (561) 702-3838

Other identifiers 1

IdentifierTypeStateIssuer
Y6724OtherFLBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000664 FL Practitioner - Physical Therapist in Private Practice 2961495460 Reassigns benefits to 2 organizations
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates PA CurrentSince Aug 22, 2022 Accepting new patients
On Site Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Healthworx Physical Therapy Centers LLC CurrentSince Nov 1, 2012 Accepting new patients
Orthopaedic Surgery Associates, PA CurrentSince Aug 22, 2022 Accepting new patients
Hope Physical Therapy Inc. Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

3500 Clubhouse Ln
Boynton Beach, FL 33436
Phone (561) 735-8559

200 Admirals Cove Blvd
Jupiter, FL 33477
Phone (561) 745-5920

521 Lake Ave
Ste 8
Lake Worth, FL 33460
Phone (305) 484-0832

7318 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 477-6929

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1447419494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10282 ISLANDER DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986306",
            "telephone_number": "561-702-3838",
            "fax_number": "561-477-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10282 ISLANDER DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986306",
            "telephone_number": "561-702-3838",
            "fax_number": "561-477-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y6724",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.